KELLIE ELIZABETH DEGRAFF (NPI# 1417293424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417293424 |
| Entity Type | Individual |
| Full Name | KELLIE ELIZABETH DEGRAFF |
| Credential | LPN |
| Practice Address |
405 W Elm St E Rochester NY 14445-2228 |
| Practice Telephone | 5853812554 |
| Mailing Telephone | 5853812554 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 279098 | NY | Nursing Service Providers |
| Street Address |
405 W ELM ST |
| City | E ROCHESTER |
| State | NY |
| Zip Code | 14445-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900611 | Shalom Tahnee Wilson | Licensed Practical Nurse | Shalomwilson36@gmail.com, 118 Pine Street, Rochester, NY 14445 | 2020-04-02 |
| 1114329646 | Yuliya Doobkowa | Licensed Practical Nurse | 90 Pine Street, East Rochester, NY 14445 | 2014-09-16 |
| 1417207325 | Rachel Ann Lowry | Specialist/Technologist | 231 East Spruce Street, East Rochester, NY 14445 | 2012-09-18 |
| 1700077443 | Heritage Christian Services Inc | Home Health | 349 West Commercial Street, Suite 2795, East Rochester, NY 14445 | 2007-08-07 |
| 1669449468 | Scott David Coon | Chiropractor | 465 W Commercial St, E Rochester, NY 14445 | 2006-03-01 |
| 1750373783 | Matthew Stoutenburg | Physical Therapist | 59 Perinton Hills Shopping Ctr, Fairport, NY 14445 | 2005-08-16 |
| 1144229097 | Karen Napierala | Physical Therapist | 161 East Commercial St, Rochester, NY 14445 | 2005-07-21 |
| 1891272902 | Jeffrey Mcquay | Occupational Therapist | 73 Lincoln Mills Rd, East Rochester, NY 14445-1068 | 2018-07-20 |
| 1104308352 | Live Fall Free LLC | Occupational Therapist | 73 Lincoln Mills Rd, East Rochester, NY 14445-1068 | 2018-09-04 |
| 1477881076 | Caitlin A Burke | Licensed Practical Nurse | 226 Magnolia Ave, East Rochester, NY 14445-1304 | 2009-11-20 |
| Find all providers in zip 14445 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811236565 | Tiamarie Sullivan | Licensed Practical Nurse | 219 W Chestnut St, E Rochester, NY 14445-2243 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | E ROCHESTER |
| Zip Code | 14445 |
Please comment or provide details below to improve the information on KELLIE ELIZABETH DEGRAFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.